Information Collection

Generic Clearance for Qualitative Feedback on Agency Service Delivery

IC 220080 under ICR 201602-1905-003 · OMB 1905-0210.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1905-0210 can be found here:

Documents and Forms

Document Name Document Type
Generic Clearance Submission Template 020216.doc Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Generic Clearance for Qualitative Feedback on Agency Service Delivery	Agency IC Tracking Number:	EIA Fast Track

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Generic Clearance Submission Template 020216.doc		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms, Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.